| NPI | 1346526761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK OLASIN Pharmacist In Charge 985-206-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 006438) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2015-03-10 |